Organization
JAMES COTICCHIA, M.D., P.C.
Active
Other names
Pediatric ENT Clinic of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COTICCHIA (PRESIDENT)
(248) 652-2240
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD STE 202, DEARBORN, MI 48124-4082
(248) 652-2240
(248) 659-1861
Mailing address
18181 OAKWOOD BLVD STE 202, DEARBORN, MI 48124-4082
(248) 652-2240
(248) 659-1861
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301082703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11043425001
—
MI
Enumeration date
08/14/2014
Last updated
05/29/2015
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